<?

function my_get_post($name,$escape=false)
{
  $var_read = '';
  if (isset($_POST[$name]))
  {
    $var_read = $_POST[$name];
    if (get_magic_quotes_gpc()) $var_read=stripslashes($var_read);
	if ($escape) $var_read=htmlspecialchars($var_read,ENT_QUOTES);
  }
  return $var_read;
}


function isEmail($str) 
{
  if(eregi("^[_a-z0-9-]+(\.[_a-z0-9-]+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,4})$", $str)) 
    return true;
  else
    return false;
}
  
function form_4_count_spam($str)
{
$nb=0;
$word='http:';
if (stristr($str,$word)) $nb++;
$word='<';
if (stristr($str,$word)) $nb++;
$word='>';
if (stristr($str,$word)) $nb++;

return $nb;
}
$form_4_class='form_4_error';
$form_4_error='';
  $form_4_spam=0;
  
$form_4_td_23_class='form_4_info';
$form_4_td_23_error='&nbsp;';
$form_4_td_23_value='';

$form_4_td_24_class='form_4_info';
$form_4_td_24_error='&nbsp;';
$form_4_td_24_value='';

$form_4_td_25_class='form_4_info';
$form_4_td_25_error='&nbsp;';
$form_4_td_25_value='';

$form_4_td_26_class='form_4_info';
$form_4_td_26_error='&nbsp;';
$form_4_td_26_value='';

$form_4_td_27_class='form_4_info';
$form_4_td_27_error='&nbsp;';
$form_4_td_27_value='';


if ('aqoqqvxb'==my_get_post('form_4_submit'))
{
$form_4_error_string='There are errors which need correction.';
$form_4_td_23_error_class='form_4_error';
$form_4_td_23_error_validation='Error: This field must be an email!';
$form_4_td_23_error_spam='Error: http: < > are not allowed!';


$form_4_td_23_value=my_get_post('Youremailaddress' ,true);
$form_4_body.='Youremailaddress : '.my_get_post('Youremailaddress')."\r\n";


if ($form_4_td_23_class!=$form_4_td_23_error_class && ''!=trim(my_get_post('Youremailaddress')) && !isEmail(my_get_post('Youremailaddress'))) {$form_4_td_23_class=$form_4_td_23_error_class; $form_4_td_23_error=$form_4_td_23_error_validation; $form_4_error=$form_4_error_string;}
  

$form_4_td_23_spam=form_4_count_spam(my_get_post('Youremailaddress'));
if ($form_4_td_23_spam>0)
{
  if ($form_4_td_23_class!=$form_4_td_23_error_class) {$form_4_td_23_class=$form_4_td_23_error_class; $form_4_td_23_error=$form_4_td_23_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_23_spam;
}
  
$form_4_td_24_error_class='form_4_error';
$form_4_td_24_error_must='Error: This field is required!';
$form_4_td_24_error_spam='Error: http: < > are not allowed!';


$form_4_td_24_value=my_get_post('NameofCaller' ,true);
$form_4_body.='NameofCaller : '.my_get_post('NameofCaller')."\r\n";


if (''==trim(my_get_post('NameofCaller'))) {$form_4_td_24_class=$form_4_td_24_error_class; $form_4_td_24_error=$form_4_td_24_error_must; $form_4_error=$form_4_error_string;}
  

$form_4_td_24_spam=form_4_count_spam(my_get_post('NameofCaller'));
if ($form_4_td_24_spam>0)
{
  if ($form_4_td_24_class!=$form_4_td_24_error_class) {$form_4_td_24_class=$form_4_td_24_error_class; $form_4_td_24_error=$form_4_td_24_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_24_spam;
}
  
$form_4_td_25_error_class='form_4_error';
$form_4_td_25_error_must='Error: This field is required!';
$form_4_td_25_error_spam='Error: http: < > are not allowed!';


$form_4_td_25_value=my_get_post('SiteLocation' ,true);
$form_4_body.='SiteLocation : '.my_get_post('SiteLocation')."\r\n";


if (''==trim(my_get_post('SiteLocation'))) {$form_4_td_25_class=$form_4_td_25_error_class; $form_4_td_25_error=$form_4_td_25_error_must; $form_4_error=$form_4_error_string;}
  

$form_4_td_25_spam=form_4_count_spam(my_get_post('SiteLocation'));
if ($form_4_td_25_spam>0)
{
  if ($form_4_td_25_class!=$form_4_td_25_error_class) {$form_4_td_25_class=$form_4_td_25_error_class; $form_4_td_25_error=$form_4_td_25_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_25_spam;
}
  
$form_4_td_26_error_class='form_4_error';
$form_4_td_26_error_must='Error: This field is required!';
$form_4_td_26_error_spam='Error: http: < > are not allowed!';


$form_4_td_26_value=my_get_post('Phone' ,true);
$form_4_body.='Phone : '.my_get_post('Phone')."\r\n";


if (''==trim(my_get_post('Phone'))) {$form_4_td_26_class=$form_4_td_26_error_class; $form_4_td_26_error=$form_4_td_26_error_must; $form_4_error=$form_4_error_string;}
  

$form_4_td_26_spam=form_4_count_spam(my_get_post('Phone'));
if ($form_4_td_26_spam>0)
{
  if ($form_4_td_26_class!=$form_4_td_26_error_class) {$form_4_td_26_class=$form_4_td_26_error_class; $form_4_td_26_error=$form_4_td_26_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_26_spam;
}
  
$form_4_td_27_error_class='form_4_error';
$form_4_td_27_error_must='Error: This field is required!';
$form_4_td_27_error_spam='Error: http: < > are not allowed!';


$form_4_td_27_value=my_get_post('DescriptionofProblemorCall' ,true);
$form_4_body.='DescriptionofProblemorCall : '.my_get_post('DescriptionofProblemorCall')."\r\n";


if (''==trim(my_get_post('DescriptionofProblemorCall'))) {$form_4_td_27_class=$form_4_td_27_error_class; $form_4_td_27_error=$form_4_td_27_error_must; $form_4_error=$form_4_error_string;}
  

$form_4_td_27_spam=form_4_count_spam(my_get_post('DescriptionofProblemorCall'));
if ($form_4_td_27_spam>0)
{
  if ($form_4_td_27_class!=$form_4_td_27_error_class) {$form_4_td_27_class=$form_4_td_27_error_class; $form_4_td_27_error=$form_4_td_27_error_spam; $form_4_error=$form_4_error_string;}
  $form_4_spam += $form_4_td_27_spam;
}
  

if (''==trim($form_4_error) && 0==$form_4_spam)
{
$receiver='service@spectech.bm';
$subject='Service Request ';
if (isEmail( $form_4_td_25_value )) $header='From: '.$form_4_td_25_value;
$subject.=$form_4_td_27_value;

  $subject= substr($subject, 0, 255);
  $subject=str_replace("\n", " ", $subject);
  $subject=str_replace("\r", " ", $subject);

  $body=str_replace("\n.", "\n..", $form_4_body);


  if ($body!="")
  {
    $result=mail($receiver,$subject,$body,$header);
    if (!result)
    {
       echo 'ERROR: The PHP mail function mail($receiver,$subject,$body,$header); does not work properly on your server, please contact your web hosting.';
       exit;
    }
  }

  if ($result)
  {
    $url='http://www.spectech.bm/thank-you.htm';
    if (!headers_sent()){    
        header('Location: '.$url); exit;
    }else{                    
        echo '<script type="text/javascript">';
        echo 'window.location.href="'.$url.'";';
        echo '</script>';
        echo '<noscript>';
        echo '<meta http-equiv="refresh" content="0;url='.$url.'" />';
        echo '</noscript>'; exit;
    }	
    exit;
  }
}

  if (trim($form_4_error)) $form_4_error="<tr><td colspan=3 class='$form_4_class'>$form_4_error</td></tr>";
}
if ($form_4_spam >= 3)  sleep(20);
if ($form_4_spam >= 3) $form_4_td_23_value='';

if ($form_4_spam >= 3) $form_4_td_24_value='';

if ($form_4_spam >= 3) $form_4_td_25_value='';

if ($form_4_spam >= 3) $form_4_td_26_value='';

if ($form_4_spam >= 3) $form_4_td_27_value='';


?><!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" >
<head>
<title>Specialized Technologies Limited</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<meta name="description" content="Specialized Technologies Limited" />
<meta name="keywords" content="Specialized Technologies Limited" />
<meta name="GENERATOR" content="Ewisoft Website Builder eCommerce Software from http://www.ewisoft.com/" />
<link href="./usertpl/1vg138-simple/stylesheet.css" rel="stylesheet" type="text/css" />
<style type="text/css" >
<!--
.link7984
{
	color:#000000;
}

--></style><link rel="stylesheet" type="text/css" href="./user/g-css-js/form-4.css" />
<script language="javascript" type="text/javascript" src="./user/g-css-js/form-4.js" ></script><script language="javascript" type="text/javascript" src="./user/g-css-js/common-form.js" ></script></head>
<body>
<table border="0" cellpadding="0" cellspacing="0" class="tablewidth" >
<tr>
<td class="contentbackground2" ><table width="100%" border="0" align="center" cellpadding="5" cellspacing="0" class="bannerbackground" >
<tr>
<td align="left" valign="top" ><a href="p1.htm" ><img src="./user/gimage/Spec-Tech-Logo_94_86.jpg" width="94" height="86" align="left" style="text-align:left;vertical-align:top;margin-top:0px;" border="0" alt="" /></a></td>
<td align="left" ><div align="left" class="slogan" style="font-family:Arial Black;color:#00004a;font-size:36px;line-height:38px;font-weight:bold;font-style:italic;text-decoration:blink;text-align:left;margin-top:0px;" >Specialized Technologies Limited</div></td>
<td><p><a href="http://www.pei.org/" target="_blank" ><img src="./user/gimage/PEI_MEMBER_gif_77_27.png" width="77" height="27" border="0" alt="" /></a></p></td></tr></table>
<table width="100%" border="0" cellpadding="5" cellspacing="0" class="contentbackground4" >
<tr>
<td><table width="100%" border="0" cellspacing="0" cellpadding="0" >
<tr>
<td width="10" height="44" class="navbkleft" >&nbsp;</td>
<td class="navbkmiddle" ><table border="0" cellpadding="0" cellspacing="0" class="nav1align" >
<tr>
<td><a href="p1.htm" target="_self" class="nav1" >Home</a></td>
<td width="2" ><img src="./usertpl/1vg138-simple/nav1divider.gif" width="2" height="26" alt="" /></td>
<td><a href="feedback.php" target="_self" class="nav1" >Feedback</a></td>
<td width="2" ><img src="./usertpl/1vg138-simple/nav1divider.gif" width="2" height="26" alt="" /></td>
<td><a href="service-request.php" target="_self" class="nav1active" >Service Request</a></td></tr></table></td>
<td width="10" class="navbkright" >&nbsp;</td></tr></table>
<table width="100%" border="0" cellspacing="0" cellpadding="10" >
<tr>
<td width="170" valign="top" class="contentleft" ><table width="100%" border="0" cellpadding="0" cellspacing="0" class="nav2background" >
<tr>
<td width="6" valign="top" ><img src="./usertpl/1vg138-simple/nav2bktopleft.gif" width="6" height="7" alt="" /></td>
<td><img src="./usertpl/1vg138-simple/spacer.gif" width="10" height="20" alt="" /></td>
<td width="6" valign="top" ><div align="right" ><img src="./usertpl/1vg138-simple/nav2bktopright.gif" width="6" height="7" alt="" /></div></td></tr>
<tr>
<td>&nbsp;</td>
<td valign="top" ><table width="100%" border="0" cellspacing="0" cellpadding="0" >
<tr>
<td><a href="thank-you.htm" target="_self" class="nav2" >Thank You</a></td></tr></table></td>
<td>&nbsp;</td></tr>
<tr>
<td valign="bottom" ><img src="./usertpl/1vg138-simple/nav2bkbottomleft.gif" width="6" height="7" alt="" /></td>
<td><img src="./usertpl/1vg138-simple/spacer.gif" width="10" height="20" alt="" /></td>
<td valign="bottom" ><div align="right" ><img src="./usertpl/1vg138-simple/nav2bkbottomright.gif" width="6" height="7" alt="" /></div></td></tr></table>
<br />
<table width="100%" border="0" cellpadding="3" cellspacing="0" class="contentleft2" >
<tr>
<td><p><span style="FONT-SIZE:12px;" ><font face="Arial, Helvetica, sans-serif" ><a href="http://www.urbangreenenergy.com/" target="_blank" ><img src="./user/cimage/UGE.png" width="282" height="233" style="WIDTH:227px;HEIGHT:211px;" border="0" alt="" /></a>&nbsp; </font></span></p><span style="FONT-SIZE:12px;" ></span><font size="1" >
<p><u><strong><font color="#0000ff" size="3" ><font color="#008000" >COMING SOON!!</font>&nbsp; </font></strong></u></p>
<p><font size="1" >We're now the local distributors for&nbsp; more <font color="#008000" size="2" face="Arial Black" >GREEN ENERGY</font> Products!!</font></p>
<p>&nbsp;</p>
<p><a href="http://www.traceinternational.org/" target="_blank" ><img src="./user/cimage/Intermediary_Member_Signature_Logo-96131-1.jpg" width="104" height="92" border="0" alt="" /></a>&nbsp;</p></font></p>
<p><font size="1" >TRACE International, Inc. is a non-profit membership association that pools resources to provide practical and cost-effective anti-bribery compliance solutions for multinational companies and their commercial intermediaries (sales agents and representatives, consultants, distributors, suppliers, etc.).</font></p>
<p><font size="1" ></font>&nbsp;</p>
<p align="center" >&nbsp;</p>
<p><font size="1" ></font>&nbsp;</p><font style="BACKGROUND-COLOR:#ffffff;" size="1" face="Arial" ></font></td></tr></table></td>
<td valign="top" class="contentbackground2" ><table width="100%" border="0" cellpadding="0" cellspacing="0" class="contentbackground3" >
<tr>
<td width="6" valign="top" ><img src="./usertpl/1vg138-simple/contentbktopleft.gif" width="6" height="6" alt="" /></td>
<td><img src="./usertpl/1vg138-simple/spacer.gif" width="10" height="5" alt="" /></td>
<td valign="top" ><div align="right" ><img src="./usertpl/1vg138-simple/contentbktopright.gif" width="6" height="6" alt="" /></div></td></tr>
<tr>
<td>&nbsp;</td>
<td valign="top" ><table width="100%" border="0" align="center" cellpadding="5" cellspacing="3" >
<tr valign="top" >
<td width="99%" ><h1>Service Request Form: </h1>
<h1><font size="2" >Please fill out below required information so we can provide the best responce and we will be able to reach you in case we have any questions</font>.</h1>
<form id="ewisoft_form-4" name="form4" method="post" action="#" onsubmit="return onsubmit_form_4();" >
<input type="hidden" name="form_4_submit" value="aqoqqvxb" />
<table cellpadding="2" cellspacing="0" border="0" >
<? echo $form_4_error ?>
<tr><td class="form_4_td" >Your email address:</td><td class="form_4_td" ><input type="text" name="Youremailaddress" value="<? echo $form_4_td_23_value ?>" onchange="validate_form_4_input_23(false);" /></td><td id="form_4_info_td_23" class="<? echo $form_4_td_23_class ?>" ><? echo $form_4_td_23_error ?></td></tr>
<tr><td class="form_4_td" >Name of Caller:</td><td class="form_4_td" ><input type="text" name="NameofCaller" value="<? echo $form_4_td_24_value ?>" onchange="validate_form_4_input_24(false);" /></td><td id="form_4_info_td_24" class="<? echo $form_4_td_24_class ?>" ><? echo $form_4_td_24_error ?></td></tr>
<tr><td class="form_4_td" >Site Location</td><td class="form_4_td" ><input type="text" name="SiteLocation" value="<? echo $form_4_td_25_value ?>" onchange="validate_form_4_input_25(false);" /></td><td id="form_4_info_td_25" class="<? echo $form_4_td_25_class ?>" ><? echo $form_4_td_25_error ?></td></tr>
<tr><td class="form_4_td" >Phone #</td><td class="form_4_td" ><input type="text" name="Phone" value="<? echo $form_4_td_26_value ?>" onchange="validate_form_4_input_26(false);" /></td><td id="form_4_info_td_26" class="<? echo $form_4_td_26_class ?>" ><? echo $form_4_td_26_error ?></td></tr>
<tr><td align="left" class="form_4_td" >Description of Problem or Call</td><td align="left" valign="middle" class="form_4_td" ><textarea name="DescriptionofProblemorCall" rows="6" class="form_4_input_27" onchange="validate_form_4_input_27(false);" cols="20" ><? echo $form_4_td_27_value ?></textarea></td><td id="form_4_info_td_27" valign="top" class="<? echo $form_4_td_27_class ?>" ><? echo $form_4_td_27_error ?></td></tr>
<tr><td align="center" class="form_4_td" colspan="2" ><input type="submit" value="Submit" /></td><td id="form_4_info_td_28" class="form_4_info" >&nbsp;</td></tr></table></form></td></tr></table></td>
<td>&nbsp;</td></tr>
<tr>
<td valign="bottom" ><img src="./usertpl/1vg138-simple/contentbkbottomleft.gif" width="6" height="6" alt="" /></td>
<td><img src="./usertpl/1vg138-simple/spacer.gif" width="10" height="5" alt="" /></td>
<td width="6" valign="bottom" ><div align="right" ><img src="./usertpl/1vg138-simple/contentbkbottomright.gif" width="6" height="6" alt="" /></div></td></tr></table></td></tr></table>
<table width="100%" border="0" cellpadding="0" cellspacing="0" class="bottom" >
<tr>
<td valign="bottom" ><img src="./usertpl/1vg138-simple/footerbkleft.gif" width="8" height="9" alt="" /></td>
<td valign="bottom" ><div align="right" ><img src="./usertpl/1vg138-simple/footerbkright.gif" width="8" height="9" alt="" /></div></td></tr></table>
<table width="100%" border="0" cellspacing="0" cellpadding="0" >
<tr>
<td height="50" ><div align="center" ><p align="left" ><font size="2" face="Arial, Helvetica, sans-serif" >&nbsp;<strong><em><font color="#000040" >Click here for all your Storage Needs!!</font></em></strong></font></p>
<p align="left" >&nbsp;<a href="http://www.bedrock-storage.com" target="_blank" ><img src="./user/cimage/Bedrock-Logo.jpg" width="1482" height="356" style="WIDTH:240px;HEIGHT:49px;" alt="" /></a></p></div>
<div align="center" class="copyright" >This website was built by Ewisoft <a href="http://www.ewisoft.com/" target="_blank" class="link7984" >Website Builder</a>.</div></td></tr></table></td></tr></table></td></tr></table></body></html>